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Myocardial Ischemia and Infarction Related to the Highly Sensitive Cardiac Troponin after Noncardiac Surgery: A Review

Célio Gomes de Amorim, Nicolas Alves Rocha, Tainá Mendes Bertolin, Tassiana Cristina Souza Dias, Maria José Carvalho Carmona and Ludhmila Abrahão Hajjar

Although Acute Myocardial Infarct (AMI) from its classic symptomatology added or not to electrocardiographic changes is a significant cause of perioperative associated mortality, when it is only plotted from the enzymatic curve, recent data points towards the existence of similar mortality. Considered as a biological marker of a more recent generation, the high sensitivity cardiac troponin (hs-cTnT) analysis may give clues on whether a rupture of the oxygen (O₂) is occurring or not offer and demand balance, without any association with other manifestations, which opens a gap to be investigated, when the diagnostic search after myocardial ischemia (MI), something that is not done unless the patient is under high risk or has a confirmed history of Coronary Artery Disease (CAD). This review explores the possible associated factors when analyzing the risks of AMI and MI in the perioperative period.